MEDICARE: MR. ERIC LAMONT RHODES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1841510807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC LAMONT RHODES

Provider Business Mailing Address
First Line	:	405 MAIN ST
Second Line	:	SUITE 700
City	:	HOUSTON
State	:	TX
Zip	:	77002-1837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 MAIN ST
Second Line	:	SUITE 700
City	:	HOUSTON
State	:	TX
Zip	:	77002-1837
Country	:	US
Telephone Number	:	713-291-5521
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2010
Last Update Date	:	06/01/2010

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